Individual
ANDREW WILLIAM HANOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-7711
Mailing address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-7711
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
TL.0005949
CO
390200000X
Student in an Organized Health Care Education/Training Program
4301100927
MI
Other
Enumeration date
06/29/2012
Last updated
06/05/2016
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